Splenic Abscess Arising After Routine Laparoscopic Cholecystectomy
Kevin Bain, DO, Vadim Meytes, DO, David Parizh, DO, Sampath Kumar, MD. NYU Langone Hospital - BrooklynIntroduction: Splenic abscess is a rare, potentially lethal condition, with autopsy studies showing incidence rates between 0.14 - 0.7%. Mortality rates ranging from 47-100% making early diagnosis and prompt intervention vital. Several case reports have documented post surgical splenic… Continue Reading
Role of intraoperative cholangiography for detecting residual stones after biliary pancreatitis: still useful? A retrospective study.
Laura Meiler, DO1, Justin Gusching, DO1, Dwayne North, DO1, Courtney Pisano, DO1, Kristen Conrad-Schnetz, DO2, Christian Massier, MD1. 1South Pointe Hospital, 2Metro HealthIntroduction: Intraoperative cholangiography (IOC) may detect residual stones in the common bile duct (CBD) after acute biliary pancreatitis (ABP). The aim of the present study is to analyze the utility of IOC in… Continue Reading
Robotic-Assisted Completion Cholecystectomy: A Safe and Effective Minimally Invasive Approach to a Challenging Surgical Scenario
William B Lyman, MD, Michael Passeri, MD, David A Iannitti, MD, FACS, Dionisios Vrochides, MD, PhD, FACS, FRCSC, Erin H Baker, MD, FACS, John B Martinie, MD, FACS. Carolinas Medical CenterBackground: Housed in a high volume tertiary referral center, our division receives a large amount of transfers and referrals from outside institutions for patients who… Continue Reading
ROBOT-ASSISTED REPAIR OF E1-BILIARY DUCTAL INJURY WITH ROUX-EN-Y HEPATICOJEJUNOSTOMY
Subhashini Ayloo, MD, MPH, FACS, Chetan Merchant, MD, Gregory Grimberg, MD, Jacob Schwartzman, MD. Rutgers New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted early repair of E1 bile duct transection post laparoscopic cholecystectomy. Materials & Methods: A 36 year old woman with previous laparoscopic cholecystectomy eight days prior was… Continue Reading
- Topic:
- Biliary
REVISITING THE IMPACT OF INTRAOPERATIVE CHOLANGIOGRAPHY ON CHOLECYSTECTOMY COMPLICATION RATES AND OPERATIVE TIME
Ashley L Deeb1, Yazen Qumsiyeh1, Sean Wrenn, MD2, Charles Maclean, MDCM, FACP3, Wasef Abu-Jaish, MD, FACS, FASMBS2. 1The Robert Larner, M.D. College of Medicine at the University of Vermont, Burlington VT, 2Department of Surgery, University of Vermont Medical Center, Burlington VT, 3Department of Medicine, University of Vermont Medical Center, Burlington VTIntroduction: The utility of intraoperative… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Reduced-port laparoscopic cholecystectomy for young surgeons
Shuichi Iwahashi, Mitsuo Shimada, Satoru Imura, Yuji Morine, Tetsuya Ikemoto, Yu Saito, Hiroki Teraoku. Department of Surgery, Tokushima UniversityIntroduction: Laparoscopic cholecystectomy (Lap-C) is the standard operation for the benign diseases. We have reported reduced port Lap-C (RPL-C) was safely and comparable method to SILS-C and conventional Lap-C (SAGES 2017). In this time, we examined the… Continue Reading
REDUCED CONSCIOUSNESS, MALIGNANCY AND QUICK SEQUENTIAL ORGAN FAILURE ASSESSMENT (QSOFA) SCORE PREDICT MORTALITY IN OCTOGENERIAN PATIENTS WITH ACUTE CHOLANGITIS
Charleen S Yeo1, Joseph Wong2, Lavisha Punjabi2, Winston Woon1, Jee Keem Low1, Terence Huey1, Junnarkar Sameer1, Vishal Shelat1. 1Tan Tock Seng Hospital, 2Lee Kong Chian School of MedicineIntroduction With improvements in healthcare access and technology, admissions of octogenarian population with acute cholangitis (AC) are increasing. Octogenarians are vulnerable to inferior outcomes. There is no study… Continue Reading
Recurrent bile duct stones after endoscopic sphincterotomy in 2255 patients
Ahmed Elgeidie, Elsayed Adel. Gastrointestinal Surgery CenterBackground: Endoscopic sphincterotomy (ES) is an effective therapeutic procedure for common bile duct (CBD) stone clearance but it carries a substantial risk of recurrent stones at long-term outcome. Aim of the study: To evaluate the rate of CBD stones recurrence after primary complete endoscopic clearance, and to identify the risk… Continue Reading
PATIENTS PRIORITIZE SAFETY FIRST: OPINIONS OF TRANSFER OF CARE FOR UNEXPECTED FINDINGS VERSUS BILE DUCT INJURY IN LAPAROSCOPIC CHOLECYSTECTOMY
Shanley B Deal, MD1, Jennifer A Rich, BS2, Elizabeth Carlson, MD1, Guillaume S Chevrollier, MD2, Michael J Pucci, MD2, Adnan A Alseidi, MD, EdM1. 1Virginia Mason Medical Center, 2Sidney Kimmel Medical College of Thomas Jefferson UniversityINTRODUCTION: Surgeons often assume patients may be dissatisfied if their operation were stopped due to suspicious intraoperative findings or injury… Continue Reading
Outcomes of Percutaneous Cholecystostomy in Malignant Biliary Obstruction
Mena Boules, MD, Madonna Michael, MD, Essa M Aleassa, MD, MSc, Gareth Morris-Stiff, MD, PhD. Cleveland ClinicIntroduction: Management of malignant biliary obstruction not amenable to surgery is usually by means of ERCP or PTHC. However, on occasions, these routes are not accessible and the alternate decompressive technique of percutaneous cholecystostomy (PC) has to be adopted.… Continue Reading
Outcomes of Laparoscopic-Assisted ERCP in Gastric Bypass Patients at a Community Hospital Center
Benefsha Mohammad, MD1, Michele Richard, MD1, Steve Brandwein, MD2, Keith Zuccala, MD3. 1Danbury Hospital, 2Danbury Hospital Department of Gastroenterology, 3Danbury Hospital Department of SurgeryIntroduction: Obesity is a prevalent issue in today’s society, which has increased the number of gastric weight loss surgeries. This presents an anatomical challenge to biliary disease requiring endoscopic retrograde cholangiopancreatography (ERCP).… Continue Reading
Loop versus suture closure of the gall bladder stump during sub-total cholecystectomy – A retrospective analysis.
Sunay Bhat1, Gokul Kruba Shanker1, Vadiraj Hunnur1, N.Subrahmaneswara Babu2, Balu Kuppusamy3. 1Dept.of Surgical Gastroenterology,VGM Gastro Care,Coimbatore, 2Dept. of Surgical Gastroenterology,JIPMER, Pondicherry., 3Dept. of Surgical Gastroenterology,GEM Hospital,CoimbatoreINTRODUCTION: Laparoscopic subtotal cholecystectomy is widely accepted as a safe alternative to the conventional laparoscopic cholecystectomy in case of acute cholecystitis with frozen calot’s triangle. The remnant stump of the… Continue Reading
LONG-TERM OUTCOMES AFTER SUBTOTAL CHOLECYSTECTOMY: A RETROSPECTIVE CASE SERIES
Julia F Kohn, BS1, Alexander Trenk, MD2, Woody Denham, MD2, John Linn, MD2, Stephen Haggerty, MD2, Ray Joehl, MD2, Michael Ujiki, MD2. 1University of Illinois at Chicago; NorthShore University HealthSystem, 2NorthShore University HealthSystemINTRODUCTION: Subtotal cholecystectomy, where the infundibulum of the gallbladder is transected to avoid dissecting within a heavily inflamed triangle of Calot, has been… Continue Reading
Laparoscopic versus Open Excision of Choledochal Cyst in Neonates; surgical methods and outcomes.
Jung-Man Namgoong, MD, JuYeon Lee, MD, SeongChul Kim, MD, PhD, DaeYeon Kim, MD, PhD. Department of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, KoreaPurpose: Laparoscopic excision of choledochal cyst (LEC) can be performed preferably in pediatrics and adults. However, LEC is not performed well in neonates because the… Continue Reading
Laparoscopic Subtotal Cholecystectomy For Difficult Acute Calcular Cholecystitis
Hamdy Abdallah, PhD. Faculty Of Medicine, Tanta University, EgyptBackground: When the critical view of safety can't be obtained during dissection of Calot’s triangle in difficult gallbladder, conversion to open surgery is recommended to prevent bile duct injury. Several “damage control” techniques, such as cholecystostomy and subtotal cholecystectomy (SC), aim to decrease the conversion rate and… Continue Reading